Active NPI
Dona Ana Rehabilitation Physicians PC
- Physical Medicine & Rehabilitation Physician
- Las Cruces, NM
National Provider Identifier
1750538583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- MD2008-0192
- Legal business name
- DONA ANA REHABILITATION PHYSICIANS PC
- Practice address
- 4441 E Lohman Ave
Las Cruces, NM 88011-8267 - Phone
- (575) 521-6400
- Fax
- (575) 521-6571
- NPI assigned
- Aug 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Ann Encapera, MD
- Title
- MD/Owner
- Phone
- (575) 647-8366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MD2008-0192 | NM | Primary |
Addresses
Primary practice location
4441 E Lohman Ave
Las Cruces, NM 88011-8267
Mailing address
4441 E Lohman Ave
Las Cruces, NM 88011-8267
Phone (575) 521-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61935778 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Las Cruces, NM
- NPI 1811025349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236556800000",
"number": "1750538583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118267",
"telephone_number": "575-521-6400",
"fax_number": "575-521-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118267",
"telephone_number": "575-521-6400",
"fax_number": "575-521-6571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONA ANA REHABILITATION PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-22",
"last_updated": "2009-03-09",
"status": "A",
"authorized_official_last_name": "ENCAPERA",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "575-647-8366",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NM",
"license": "MD2008-0192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61935778",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.